Yedikule Teaching Hospital for Chest Diseases and Thoracic Surgery, Chest Diseases, Istanbul, Turkey.
Yedikule Teaching Hospital for Chest Diseases and Thoracic Surgery, Chest Diseases, Istanbul, Turkey.
Chest. 2011 Nov;140(5):1300-1304. doi: 10.1378/chest.10-1856. Epub 2011 May 5.
During the past 2 decades, silica sand has been used widely in sandblasting denim in Turkey, which has resulted in an epidemic of silicosis. This study was conducted to summarize the clinical outcomes of formerly healthy young people who became disabled or died because of working in the textile industry.
The medical records of patients with silicosis due to denim sandblasting who were seen at our institution between 2001 and 2009 were reviewed. Follow-up data were assessed. Compensation and vital status of patients were determined, and survival analysis was performed.
Thirty-two male patients diagnosed with silicosis due to denim sandblasting over an 8-year period were identified. Mean age was 31.5 years. They worked as denim sandblasters for a mean 66.4 h/wk for a median 28.5 months. Their mean cumulative exposure time to silica sand was 12,957 h. The median follow-up period was 29 months (range 3-101 months). The median latency period (time elapsed between initial exposure and diagnosis) was 5.5 years (range 2-14 years). Six of the followed patients (19%) died of progressive massive fibrosis. Nine of the patients (28%) were compensated because of silicosis. Just two patients with silicosis received compensation before they died. The mean survival rate was 78 months. The estimated 5-year survival rate was 69% for denim sandblasters with silicosis.
Silicosis in young individuals after exposure in the textile sector suggests a lack of awareness of the hazards of silica outside of the traditional occupations associated with silicosis. Death from silicosis in young people suggests overexposure and unsafe working conditions as a result of a lack of control.
在过去的 20 年中，土耳其广泛使用硅砂进行牛仔布喷砂处理，由此导致矽肺病流行。本研究旨在总结因在纺织行业工作而致残或死亡的原本健康的年轻人的临床结局。
我们回顾了 2001 年至 2009 年间在我院就诊的因牛仔布喷砂而患有矽肺的患者的病历。评估了随访数据。确定了患者的赔偿和生存状况，并进行了生存分析。
在 8 年期间，我们共发现 32 名因牛仔布喷砂而患有矽肺的男性患者。平均年龄为 31.5 岁。他们作为牛仔布喷砂工，平均每周工作 66.4 小时，中位数工作时间为 28.5 个月。他们平均累计暴露于硅砂的时间为 12957 小时。中位随访时间为 29 个月（范围 3-101 个月）。中位潜伏期（初次暴露和诊断之间的时间间隔）为 5.5 年（范围 2-14 年）。随访的 6 名患者（19%）死于进行性大块纤维化。9 名患者（28%）因矽肺获得赔偿。只有两名矽肺患者在去世前获得了赔偿。平均生存率为 78 个月。矽肺病牛仔布喷砂工的估计 5 年生存率为 69%。
纺织行业暴露后年轻人出现矽肺表明，人们对传统矽肺职业以外的矽尘危害缺乏认识。年轻人死于矽肺表明过度暴露和不安全的工作条件是由于缺乏控制所致。
